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Case Report: HCG Restores Spermatogenesis
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<blockquote data-quote="Excel Male" data-source="post: 272960" data-attributes="member: 1"><p>The questions are regularly posed here at Excelmale: Will HCG help me maintain fertility while on a TRT protocol? How much HCG must I use to remain fertile?</p><p>[h1]<strong>This Case Report Answers Some of Those Questions</strong>[/h1]</p><p>[ul]</p><p> [li]A 40 year old man presented to an endocrine department in August 2015 with a 4-year history of tiredness, reduced libido and infertility. He was seen by the urologist in 2011 for right <strong><a href="https://www.excelmale.com/how-to-increase-testosterone-naturally-2/" target="_blank">undescended testis</a></strong> and had an orchidectomy in January 2015.[/li]</p><p> [li]In March 2014 he attended the fertility clinic and was found to be hypogonadal with azoospermia (repeat tests in 2015 and 2016 confirmed the same). An ultrasound revealed a small, well-perfused left testicle of 13 ml-size. His pituitary gland imaging was normal.[/li]</p><p> [li]We commenced subcutaneous HCG 1500 IU three times a week until serum testosterone levels normalised. At month-3 subcutaneous rFSH 150 IU three times a week was commenced while the HCG dose was reduced to 1500 IU once a week.[/li]</p><p> [li]Semen analysis at month-6 and month-9 has revealed progressive improvement in spermatogenesis (concentration, motility, and progressiveness).[/li]</p><p> Three-monthly assessment of testosterone levels, full blood count, prostate specific antigen and liver function tests have been normal. Combined <strong><a href="https://www.discountedlabs.com/blog/free-testosterone-6-ways-to-boost-it" target="_blank">therapy</a></strong> is being continued until appreciable levels of spermatogenesis have been achieved for non-assisted conception and/or for semen freezing and assisted conception treatment.</p><p>[/ul]</p><p>[h2][style=font-weight: bold;]Conclusion[/style][/h2]</p><p>In conclusion, we describe a man with hypogonadotropic hypogonadism, azoospermia, previous right orchidectomy and a remaining small left testicle, who is currently receiving gonadotropin therapy with subsequent stimulation of adequate spermatogenesis.</p><p>"Successful stimulation of spermatogenesis in a man with hypogonadotrophic hypogonadism, azoospermia, previous right orchidectomy and a remaining small left testicle," [style=font-style: italic;]Endocrine Abstracts, 2017[/style]</p></blockquote><p></p>
[QUOTE="Excel Male, post: 272960, member: 1"] The questions are regularly posed here at Excelmale: Will HCG help me maintain fertility while on a TRT protocol? How much HCG must I use to remain fertile? [h1][b]This Case Report Answers Some of Those Questions[/b][/h1] [ul] [li]A 40 year old man presented to an endocrine department in August 2015 with a 4-year history of tiredness, reduced libido and infertility. He was seen by the urologist in 2011 for right [b][url=https://www.excelmale.com/how-to-increase-testosterone-naturally-2/]undescended testis[/url][/b] and had an orchidectomy in January 2015.[/li] [li]In March 2014 he attended the fertility clinic and was found to be hypogonadal with azoospermia (repeat tests in 2015 and 2016 confirmed the same). An ultrasound revealed a small, well-perfused left testicle of 13 ml-size. His pituitary gland imaging was normal.[/li] [li]We commenced subcutaneous HCG 1500 IU three times a week until serum testosterone levels normalised. At month-3 subcutaneous rFSH 150 IU three times a week was commenced while the HCG dose was reduced to 1500 IU once a week.[/li] [li]Semen analysis at month-6 and month-9 has revealed progressive improvement in spermatogenesis (concentration, motility, and progressiveness).[/li] Three-monthly assessment of testosterone levels, full blood count, prostate specific antigen and liver function tests have been normal. Combined [b][url=https://www.discountedlabs.com/blog/free-testosterone-6-ways-to-boost-it]therapy[/url][/b] is being continued until appreciable levels of spermatogenesis have been achieved for non-assisted conception and/or for semen freezing and assisted conception treatment. [/ul] [h2][style=font-weight: bold;]Conclusion[/style][/h2] In conclusion, we describe a man with hypogonadotropic hypogonadism, azoospermia, previous right orchidectomy and a remaining small left testicle, who is currently receiving gonadotropin therapy with subsequent stimulation of adequate spermatogenesis. "Successful stimulation of spermatogenesis in a man with hypogonadotrophic hypogonadism, azoospermia, previous right orchidectomy and a remaining small left testicle," [style=font-style: italic;]Endocrine Abstracts, 2017[/style] [/QUOTE]
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Case Report: HCG Restores Spermatogenesis
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